from four lean (body mass index: 19-25 kg/m 2 )P COS women, ages 21-32 years, and four BMI- and age-matched NL women. ASCs were isolated after digestion of SC abdominal adipose with collagenase and differential centrifugation. RNA from ASCs was extracted using Qiagen miRNeasy Mini Kit. Microarray and small non-coding RNA (miRNA) analysis were performed using Affymetrix Human Genome U1.33 2.0 and Human miRNA arrays, respectively. Data were analyzed using Ingenuity Pathway Analysis. RESULTS: Differential expression of >1.5 fold change between SC abdominal ASCs of PCOS and NL women indicated 64 up-regulated and 103 down-regulated genes (P<0.05). Nine genes involving adipogenesis were up-regulated (WARS2, CXCL5, CYP26B1, CYP4V2, TBX3, GPX3, CXCL2, SCD and APOC1) and 6 genes were down-regulated (HHIP, WNT5A, WISP1, SEMA3A, ITGA6 and GREM1). Differential canonical pathways between the two female groups included (i) Liver X Receptor/Retinoid X Receptor (LXR/RXR) activation (P¼0.001), (ii) Notch signaling (P¼0.002), (iii) epithelial-mesenchymal regulation (P¼0.006), (iv) Vitamin D Receptor/ Retinoid X Receptor (VDR/RXR) activation (P¼0.013) and (v) human embryonic stem cell pluripotency (P¼0.05), all of which involve adipogenesis and ECM formation. TGFb1 was identified as the master upstream regulatory gene (P¼0.004), governing genes affecting adipogenesis (SCD, TBX3, WNT5A, ITGA6, SEMA3A and WISP1) and ECM formation (CH13L1, TNC, MYO10, JAG1, SOX4 and ANKRD1). Interestingly, miRNA array identified miRNAs controlling gene regulation of adipogenesis and ECM formation, including hsa-miR-4709-3p (GREM1 and SEMA3A), hsa-miR-532-3p (CYP26B1), hsa-miR-532-5p (CXCL2), hsa-miR-23c (WARS2), hsa-miR-299-5p (SOX4) and hsa-miR-298 (GPX3 )( P<0.05). The last 3 of these miRNAs also have been shown to be differentially expressed in PCOS 1 . CONCLUSIONS: A network of interrelated genetic pathways in SC abdominal ASCs offers a developmental programming model for PCOS through regulation of adipogenesis and ECM. Reference: 1. Sorensen AE, Wissing ML, Salo S, et al. MicroRNAs Related to Polycystic Ovary Syndrome (PCOS) Genes 2014;5:684-708.
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